Cases reported "Foot Diseases"

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1/61. Cutaneous angioleiomyoma.

    Leiomyomas are smooth-muscle tumors that may be encountered in the practice of podiatric medicine when they affect the arrector pili muscles or the smooth muscle of a vessel wall. In the present case, the lesion was located on the heel, an area with no hair growth; this further supports the diagnosis, as the most likely origin of the lesion was the smooth muscle of a blood vessel. Vascular leiomyomas show a greater predilection for the lower extremities than their superficial counterparts. Surgical excision is the treatment of choice for these benign lesions, whose prognosis is excellent. When a patient presents with a painful mass in the lower extremity, the diagnosis of leiomyoma should be considered.
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ranking = 1
keywords = heel
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2/61. magnetic resonance imaging evaluation of heel pain.

    magnetic resonance imaging is superior to radiographic and scintigraphic examination for pathologic evaluation of the musculoskeletal system. magnetic resonance imaging demonstrates increased sensitivity and specificity compared with radiographic evaluation, and equal sensitivity and increased specificity compared with scintigraphic examination. Two case studies of magnetic resonance imaging evaluation of heel pain involving a calcaneal stress fracture and a capillary hemangioma are presented.
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ranking = 5
keywords = heel
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3/61. Atypical heel pain. hyperparathyroidism-induced stress fracture of the calcaneus.

    The authors present a case of atypical heel pain masquerading as plantar fasciitis. The patient was subsequently diagnosed with hyperparathyroidism-induced stress fracture of the calcaneus. The clinical entity of hyperparathyroidism and its manifestations in the skeletal system are presented, as well as a review of stress fractures and pertinent imaging studies.
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ranking = 465.86009203653
keywords = plantar fasciitis, fasciitis, heel
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4/61. Common painful foot syndromes.

    The prevalence of foot problems in the general population is 10%, and in the elderly it ranges from 53% to 95%. Proximal plantar fasciitis is the most common cause of painful feet in clinical practice, and is twice as common among women as among men. metatarsalgia is probably the most common cause of foot pain among middle-aged women.
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ranking = 460.86009203653
keywords = plantar fasciitis, fasciitis
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5/61. Defective running shoes as a contributing factor in plantar fasciitis in a triathlete.

    STUDY DESIGN: Case study of a patient who developed plantar fasciitis after completing a triathlon. OBJECTIVES: To describe the factors contributing to the injury, describe the rehabilitation process, including the analysis of defective athletic shoe construction, and report the clinical outcome. BACKGROUND: Plantar fasciitis has been found to be a common overuse injury in runners. Studies that describe causative factors of this syndrome have not documented the possible influence of faulty athletic shoe construction on the symptoms of plantar fasciitis. methods AND MEASURES: The patient was a 40-year-old male triathlete who was followed up for an initial evaluation and at weekly intervals up to discharge 4 weeks after injury and at 1 month following discharge. Perceived heel pain, ankle strength, and range of motion were the primary outcome measures. Shoe construction was evaluated to assess the integrity of shoe manufacture and wear of materials by visual inspection of how shoe parts were glued together, if shoe parts were assembled with proper relationship to each other, if the shoe sole was level when resting on a level surface, and if the sole allowed unstable motion. RESULTS: The patient appeared to have a classic case of plantar fasciitis with a primary symptom of heel pain at the calcaneal origin of the plantar fascia. On initial evaluation, right heel pain was a 9 of 10, plantar flexion strength was a 3 /5, and ankle dorsiflexion motion was 10 degrees. One month after discharge, perceived heel pain was 0, plantar flexion strength was 5/5, and dorsiflexion motion was 15 degrees and equal to the uninvolved extremity. The right running shoe construction deficit was a heel counter that was glued into the shoe at an inward leaning angle, resulting in a greater medial tilt of the heel counter compared with the left shoe. The patient was taught how to examine the integrity of shoe manufacture and purchased a new pair of sound running shoes. CONCLUSIONS: A running shoe manufacturing defect was found that possibly contributed to the development of plantar fasciitis. Assessing athletic shoe construction may prevent lower extremity overuse injuries.
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ranking = 3694.3795931032
keywords = plantar fasciitis, fasciitis, heel
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6/61. Acral lipoblastoma.

    Lipoblastomas are rare, benign childhood tumors. We report a case of lipoblastoma on the heel of a 5-year-old girl who presented with a progressively enlarging, xanthoerythematous plaque. Surgical excision with follow-up for possible recurrence is the treatment of choice.
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ranking = 1
keywords = heel
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7/61. Endoscopic release of plantar fasciitis--a benign procedure?

    This is a case report of a patient suffering from subcalcaneal pain syndrome due to plantar fasciitis that was resistant to non surgical treatment. After endoscopic partial release of the plantar fascia the patient was pain free for several weeks, before he became symptomatic again. This new pain was located more proximally. An MRI study showed a stress reaction of the calcaneus.
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ranking = 2304.3004601827
keywords = plantar fasciitis, fasciitis
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8/61. Giant foot schwannoma.

    Schwannoma of the foot is rare; only 12 cases have been reported. A schwannoma is a benign neurogenic tumour derived from schwann cells. The diagnosis is often delayed because the symptoms are mainly those of compression disorders. We describe a 7cm schwannoma of the heel in a 30-year-old man. Ten years earlier a schwannoma was removed from the same site. The recurrent lesion was widely excised and a medial plantar flap was used to repair the heel.
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ranking = 2
keywords = heel
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9/61. Benign anteromedial plantar nodules of childhood: a distinct form of plantar fibromatosis.

    Plantar fibromatosis is a benign but sometimes locally aggressive proliferation of fibrous tissue that usually arises in adolescence or early adulthood. Pediatric presentation with asymptomatic, bilateral nodules on the anteromedial heel pad may be cause for cosmetic concern, but is otherwise harmless. awareness and clinical diagnosis of benign anteromedial plantar nodules of childhood will prevent unnecessary and possibly unsuccessful surgery. We present a case of anteromedial plantar nodules and a brief review of the literature. We propose the term "benign anteromedial plantar nodules of childhood" to describe and define this clinically distinctive form of plantar fibromatosis.
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ranking = 1
keywords = heel
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10/61. Atypical presentation of plantar fasciitis secondary to soft-tissue mass infiltration.

    This article describes a patient with plantar fascial pain who presented to the office of one of the authors. physical examination and the patient's description of the history of symptoms revealed classic signs and symptoms of plantar fasciitis. The patient was treated with numerous conservative modalities, including ultrasound, nonsteroidal anti-inflammatory medications, trigger-point injections, over-the-counter orthoses, and stretching exercises. When the pain was not relieved by these conservative measures, magnetic resonance imaging of the area was performed. Visualization of the insertional area of the plantar fascia revealed a mass inferior to, as well as infiltrated into, the plantar fascia. Surgical excision of the lesion resulted in complete elimination of the patient's pain.
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ranking = 2304.3004601827
keywords = plantar fasciitis, fasciitis
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